What if I pay cash and submit a receipt for reimbursement for a drug that requires medical exception or a prior authorization?
Drugs that are excluded from the formulary or require a prior authorization must be approved in advance by having your physician contact the CDPHP Pharmacy Services Department at (518) 641-3784. You must receive notification of the approval before filling the prescription in order to be eligible for claim reimbursement.
Related Questions
- What if I pay cash and submit a receipt for reimbursement for a drug that requires medical exception or a prior authorization?
- Can I pay cash and submit a claim for reimbursement for a drug requiring precertification?
- Does the member have to pay for the service and then submit a receipt for reimbursement?
